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Village Permit <br />Contractor-�� *<- Address <br />Owner Address ` C (C H GA4 0 � 4 <br />1_; <br />Statc License No. Village License No. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota 77 <br />/ <br />Date `~ �� / <br />Parcel No. <br />Section No _ Lot— Block — Sui division <br />Plat No. <br />Other Description: <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall <br />comply with the Village Code of Orono applicable thereto, and shall include all a&,tional specifications as listed below. <br />Install plumbing systems: Fee $—_ _ __ Signature of applicant <br />Install <br />sewage clispe+al- ems: Fee <br />Rclxnr <br />lustall <br />water supply systems: Fee $. <br />Rclxiir <br />- -- Fee <br />Total amount lxiid to Village $�Q <br />Signature of Village Official <br />r <br />